scholarly journals Long term outcome of ipsilateral dislocation of open displaced elbow with close shoulder dislocation: a case report

2020 ◽  
Vol 6 (5) ◽  
pp. 1139
Author(s):  
Vitthal Bhardwaj ◽  
Kuldeep Nahar
Keyword(s):  
Shoulder Dislocation ◽  
Road Traffic ◽  
Anterior Dislocation ◽  
Term Outcome ◽  
Joint Injury ◽  
Imaging Protocol ◽  
Long Term Outcome ◽  
K Wires ◽  
High Degree

52 years old man presented with open dislocation of elbow due to road traffic accident was not complaining of another joint injury or pain was radiographed as per protocol of including the adjacent shoulder joint and incidentally discovered with anterior dislocation of shoulder was treated with close reduction of shoulder dislocation and debridement  as well as reduction and trans fixation of ulno-humeral joint with k-wires. Skin coverage later was done. Patient recovery was excellent in terms of motion at both joints. The purpose of reporting of this case is to convey a message that ipsilateral dislocation of shoulder and elbow is a very rare occurrence but do occur and a high degree of suspicion and imaging protocol can save from missing this event.

scholarly journals Long-term outcome after traumatic anterior dislocation of the hip

2011 ◽  
Vol 131 (9) ◽  
pp. 1273-1278 ◽  
Author(s):  
Johannes Dominik Bastian ◽  
M. Turina ◽  
K. A. Siebenrock ◽  
M. J. B. Keel
Keyword(s):  
Anterior Dislocation ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Dislocation Of The Hip

Abstract P134: Economic and Clinical Model for Direct Transfer to Angiosuite Protocol Development

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Manuel Requena ◽  
Andreu Vilaseca-Jolonch ◽  
Valeska Seguel ◽  
Pablo Guijarro ◽  
Carlos Molina ◽  
...  
Keyword(s):  
Economic Model ◽  
Cost Effective ◽  
Functional Independence ◽  
Direct Transfer ◽  
Term Outcome ◽  
Imaging Protocol ◽  
Long Term Outcome ◽  
Economic Implications ◽  
Life Years

Background and purpose: Direct transfer to angiosuite (DTAS) has consistently shown to be effective and safe shortening in-hospital workflows and encouraging long-term outcome benefits. In order to generalize DTAS an organizational and manpower effort is necessary. We aim to perform a cost-effective analysis of the implementation of a new angiosuite primarily dedicated to DTAS of stroke patients that will allow generalization of this pathway Material and methods: Sixty-one patients who underwent endovascular treatment (EVT) following DTAS were matched for baseline variables to 117 patients who underwent conventional imaging protocol before EVT. An economic model based on actual data was developed to assess the short and long term clinical and economic implications. The DTAS development scenario estimates a gradual 20% increase of DTAS rate for 4 years followed by a stable 80% rate of DTAS. Initial investment and additional organizational costs were included: 4M є. A cost-effective study compared the DTAS development scenario (SC1) to a scenario with no organizational changes (SC2) over 10 years. Results: The 10 year model included 1775 EVT patients in each scenario: SC1 60% DTAS Vs SC2 0% DTAS. SC1 would be associated with better functional independence rates (mRS 0-2: 45.8% versus 40.2%; p=0.04) and a quality-adjusted life-years gain of 0.12 per patient. Despite the additional investment, SC1 development was associated with an estimated 15.1% reduction (26.25M є) of total costs (173.749M є). Cost savings was mainly due to long-term associated costs related with patient disability (є 26.4 million). Conclusions: Our economic model predicts that the development of a DTAS program is cost effective.

scholarly journals Dural tear from diagnostic lumbar puncture followed by long-term morbidity: a case report

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Aleksander Fjeld Haugstvedt ◽  
Inger Birgitte Havsteen ◽  
Hanne Christensen
Keyword(s):  
Lumbar Puncture ◽  
Epidural Space ◽  
Anterior Dislocation ◽  
Csf Leak ◽  
Dural Tear ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Epidural Blood Patching ◽  
Spinal Chord

Abstract Background Lumbar punctures are performed in different medical settings and are a key procedure in the diagnosis of several neurological conditions. Complications are rare and generally self-limiting. There are no reports of symptomatic accumulation of fluid in the epidural space after lumbar puncture in adults and there are no studies on long-term outcome after post dural puncture headache (PDPH). Case A lumbar puncture was performed in a 29 y.o. slender woman with unspecific symptoms to rule out neuro-infection. Next day MRI showed substantial accumulation of CSF in the epidural space from C2 to the sacrum dislocating the spinal chord in the spinal canal. The condition was ameliorated by epidural blood-patching. At 5 months she was still impaired by severe orthostatic headache. Conclusions The only plausible explanation for the massive CSF leak was a dural tear occurring during multiple attempts of lumbar puncture. Anterior dislocation of the spinal chord due to CSF leak is not a recognised complication to lumbar puncture. This complication was followed by long-term disability in our case. The diagnosis can be made by MRI. A difficult procedure with several attempts and use of traumatic technique may increase risk of this complication.

scholarly journals Comparative study of functional benefits and dispensarization of three treatment alternatives in the total edentation

2017 ◽  
Vol 63 (4) ◽  
pp. 160-168
Author(s):  
Marina Meleşcanu-Imre ◽  
◽  
Elena Preoteasa ◽  
Paula Perlea ◽  
Paul Bores ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Complete Denture ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Mini Implants ◽  
General Pathology ◽  
Natural Teeth ◽  
High Degree ◽  
Treatment Alternatives

Complete edentulism status represents for the patient a moment with important functional and emotional meanings associated with aging and frequently with a complex general pathology. The rehabilitation of the full edentulous patient represents a real challenge for the dentist through its complexity. Therefore, we are highlighting the importance of knowing alternatives of treatment outside the conventional complete denture. The study analyzes three of the main methods of prosthesis in the full and subtotal edentulism (conventional complete denture, overdenture on natural teeth and on mini implants) in terms of patient satisfaction with the rehabilitation of the functionality of the oral system as well as the long-term outcome of prosthesis. Overdenture shows up to be a successful alternative in rehabilitation of the oro-maxilo-facial system, with benefits on the quality of life and a high degree of patient satisfaction.

Growth Volatility and Economic Growth in Brazil

2018 ◽  
Author(s):  
Jorge Arbache ◽  
Sarquis J. B. Sarquis
Keyword(s):  
International Standards ◽  
Growth Potential ◽  
Limited Growth ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Substantial Growth ◽  
International Convergence ◽  
High Degree ◽  
Growth Volatility

One of the most puzzling pieces of evidence surrounding Brazil’s economic performance is that, despite the country’s ability to grow at high rates, its long-term growth has been disappointing. Behind this deficient long-term outcome, Brazil shows a high degree of growth volatility. It has experienced substantial growth booms and busts as measured by international standards. This chapter provides an analysis of growth volatility and its impact on Brazil’s growth performance and long-term trajectory. Particular attention is given to its long-term underperformance, its macroeconomic regularities, and the possible causes and implications of its limited growth potential and degree of international convergence.

scholarly journals Long-Term Outcome of Rockwood Capsular Shift for Recurrent Shoulder Dislocation

2016 ◽  
Vol 24 (3) ◽  
pp. 392-397 ◽  
Author(s):  
Luigi Murena ◽  
Nicola Guindani ◽  
Stefano Turino ◽  
Federico A Grassi ◽  
Paolo Cherubino
Keyword(s):  
Shoulder Dislocation ◽  
Recurrent Dislocation ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Capsular Shift ◽  
Shoulder Range Of Motion ◽  
Recurrent Shoulder Dislocation ◽  
Glenohumeral Osteoarthritis

Purpose To review the long-term outcome of Rockwood capsular shift for recurrent shoulder dislocation secondary to trauma. Methods Records of 30 males and 4 females who underwent Rockwood capsular shift for recurrent (≥2 episodes) anterior shoulder dislocation were reviewed. An additional Bankart repair with different techniques was performed in 24 of the patients by 2 different surgeons. The outcome was assessed using the Western Ontario Shoulder Instability Index (WOSI) and the Western Ontario Osteoarthritis of the Shoulder (WOOS) index questionnaires, the modified Rowe score, and the Constant-Murley score. Shoulder range of motion (ROM) was measured. Degenerative joint changes were evaluated on radiographs. Results During a mean follow-up of 13 (range, 10–16) years, 6 (18%) patients had a mean of 1.2 recurrent dislocations. Four of the patients reported a traumatic event during recurrent dislocation. Of the 6 patients, 3 had undergone a Bankart lesion repair. Better Rowe and adjusted Constant scores were associated with lower age at first dislocation, at the index surgical procedure, and at follow-up. Four patients developed glenohumeral osteoarthritis: 2 were mild or moderate and 2 were severe and symptomatic. Glenohumeral osteoarthritis was associated with follow-up duration (p=0.03) and poorer Rowe score (p=0.012), adjusted Constant score (p=0.001), and WOOS score (p=0.006). Conclusion Rockwood capsular shift can preserve shoulder ROM, with rates of recurrent dislocation and degenerative joint changes comparable with other techniques.

Long-term outcome of treatment with cyclosporine IV for patients with intractable ulcerative colitis

2001 ◽  
Vol 120 (5) ◽  
pp. A624-A624 ◽  
Author(s):  
J ARTS ◽  
M ZEEGERS ◽  
G DHAENS ◽  
G VANASSCHE ◽  
M HIELE ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Term Outcome ◽  
Long Term Outcome
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